Group Membership Renewal Form

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The insurance broker needs a breakdown of the ages of the members in your group. Please advise details below.

How many of your members are aged :

The Renewal Fee for a Group Membership with 1 - 25 members is $155, which includes a base annual renewal fee of  $60.

The Renewal Fee for a Group Membership with 26 - 50 members is $200, which includes a base annual renewal fee of  $60.

The Renewal Fee for a Group Membership with 51 - 100 members is $310, which includes a base annual renewal fee of  $60.

The Renewal Fee for a Group Membership with 101 - 200 members is $440, which includes a base annual renewal fee of  $60.

The Renewal Fee for a Group Membership with 201 - 300 members is $490, which includes a base annual renewal fee of  $60.

The Renewal Fee for a Group Membership with 301 - 400 members is $570, which includes a base annual renewal fee of  $60.

The Renewal Fee for a Group Membership with 401 + members is $620, which includes a base annual renewal fee of  $60.

The annual renewal fee for Group Membership without insurance is $60. Please forward payment by one of the methods listed below.

Please send cheque made payable to Victorian Quilters Inc. to:
Victorian Quilters Inc.
c/- 5 Robinson Rd,
Kooroocheang VIC 3364
with your Group name in a letter, or a copy of the pdf you will receive after submitting this form.

Please deposit to :
Victorian Quilters Inc.
BSB 033 180
A/C 302487
For the Reference, please use Your Group Name and/or Group Number

Please notify Victorian Quilters Inc. of any changes to the details above using the Contact form on the website.